Population based registries under National
Cancer Registry Program indicate that 50-60% of all cancers among Indian
females, are related to breast and genital organs, with adverse influence on their
productive role. Over 70% report in advanced stages and have high mortality
rates.

Aim:

To identify leading sites of neoplasm in females and
detailed analysis of gynecological malignancies, in all age groups and to
compare results with national and global data, with application of knowledge in
early detection as emphasized by India’s National Cancer Control Programme.

Methods:

Systematic extraction of demographic
and clinical details from hospital cancer registry between January 2011 to
December 2013 was conducted to identify children, adolescents, young adults,
and elder females diagnosed with various malignancies. Thereafter observation
was analyzed system-wise and year-wise to determine trends.

Results:

Female
neoplasm constituted 13,412 (44.53%) of 30,120 total new patients registered with DSCI during three years, in males, females and children categories. Benign female neoplasms were 3420(25.15%). Of
9992 female malignancies registered, mammary glands were leading site 2513 (25.15%),
followed by hepato- biliary and gastrointestinal system 2229 (22.31%),
gynaecological malignancies 2200 (22.02%)
, oro-facial-pharyngial cancers 698 (6.99%) and hematological and lymphoproliferative
malignancies 651(6.51%).

Of
gynecological malignancies, uterine cervix was commonest followed by ovarian
and uterine cancers.

Year
wise evaluation showed trends of common female malignancies to be similar every
year.

Conclusions:

Analysis
of cancer registries at DSCI is a guide to trends of common female malignancies,
so as to target clinical programs in screening, early detection, and treatment aptly,
to reduce advanced stages reporting.